Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Narcan

    Larry77 replied to Kir's topic in Emergency

    If psych is reporting first schizo break it sounds like the Narcan didn't really work... There are some narcs that do not show up on a regular urine tox like Fentanyl, and Dilaudid...just depends on...

  2. My skills are being wasted! vent thread

    Larry77 replied to JBudd's topic in Emergency

    Some battles are worth fighting at the time, others you bring up with the charge nurse then the manager... Depending on the relationship I have with the said tech I would either fight that battle at...

  3. Education 101: ER vs. ICU

    Larry77 replied to 1EmergencyRN's topic in Emergency

    K...I'll stir the pot a little more...lets get an average weight of all the ICU nurses and all the ED nurses and compare...now who works harder? I think that some of the smartest nurses I've ever...

  4. Gift ideas for ER newbie

    Larry77 replied to Freedom42's topic in Emergency

    I agree with the Iphone suggestion...couldn't live without mine. Do you have comfortable shoes? Personally I don't like the pro-packs but I know a lot on here do (too close to fanny-packs in my...

  5. Passed the CEN today

    Larry77 replied to Oldnavy1988's topic in Emergency

    I studied off and on but almost all of my answers came from my experience not a review book or class...It's a great way to make yourself more marketable and show that you are knowledgeable in your...

  6. Education 101: ER vs. ICU

    Larry77 replied to 1EmergencyRN's topic in Emergency

    Hmm...I've never hated on the OR...now the ICU and the floors I've hated on for years :-) I think if we all respect each other and look at the situation from the other's perspective we can all get...

  7. Hernia or Torn Muscle - What kinda doc to see?

    Larry77 replied to rdnkjdi's topic in General Nursing

    Remember the policy of these boards about no medical

  8. How often do EMS crews show up to your dept unannounced?

    Larry77 posted a topic in Emergency

    Had a crew show up to our dept unannounced today at peek time (19 in WR)...said "Kaiser called about this one". Yes, I got a heads-up that Kaiser clinic was sending a pt 2.5 hrs earlier. When I...

  9. Dead or Not he was your Patient show some RESPECT!

    Larry77 replied to Jerry 75's topic in Emergency

    And this happened in the 70's??? Just wondering if something happened more recently that made you bring it up? The respect for the dead has increased even in my fairly short career...used to practice...

  10. VENT before we Loose it!

    Larry77 replied to Jerry 75's topic in Emergency

    We have debriefings after PEDS codes or traumas automatically and after any stressful situation if someone requests, we also have EAP that pays for up to 10 counseling appts and we are a pretty tight...

  11. Thank you to the Techs....

    Larry77 replied to Virgo_RN's topic in Emergency

    What a great post VirgoRN! I agree with you wholeheartedly, they work hard and are paid the least. We have had many issues with a few of the young nursing student techs that seem to feel that they...

  12. What's up with all of these sharp beds?

    Larry77 replied to KungFuFtr's topic in Emergency

    If the story doesn't match the injury...report it. We are mandatory reporters as healthcare professionals. That said, kids are injury prone and no matter how "safe" you manufactory furniture/toys...

  13. IM antibiotic

    Larry77 replied to RoyalNurse's topic in Emergency

    You come at me with an 18g for my IM...I'm going to swing! lol Depending on the size of the pt, 5/8 might be fine, otherwise I've been in similar situations and could usually find a muscle by...

  14. CEN...study at home or in seminar?

    Larry77 replied to twinmommy+2's topic in Emergency

    Jeff is one of the smartest nurses I've met and a great guy...I highly recommend any class he teaches whether it is TNCC, ENPC, CATN, or a CEN review course...I would have taken mine from him but he...

  15. Code Blue Nervousness

    Larry77 replied to mommy123RN's topic in Emergency

    I find I just go into autopilot before and during the trauma/code...after it is over is when I debrief or take a break if I have to. I find anymore that the only ones that get me are the kids or the...

  16. CEN...study at home or in seminar?

    Larry77 replied to twinmommy+2's topic in Emergency

    The class I took didn't help with the exam at all. It was basically an overview of the systems and disease processes. Do you know anyone that has taken the specific class you are thinking about? I...

  17. How should a new nurse prepare for an ED job?

    Larry77 replied to Freedom42's topic in Emergency

    I've worked with a few ex-medics, both good nurses and bad. One thought he knew everything but was dangerous, another was fantastic and ready to learn. Medics do not know much about chronic meds or...

  18. How should a new nurse prepare for an ED job?

    Larry77 replied to Freedom42's topic in Emergency

    I agree that I would wait to take TNCC after you have at least been involved in a few traumas. ena.org has CEN review books and I'm pretty sure some have discs. I agree with Sheehy's...every ED...

  19. Who do you think you are!

    Larry77 replied to mesa1979's topic in General Nursing

    I have received report on patients being sent to the ED from these "med-aides"...wth? One time I asked for the LN she said, "Oh, she isn't here today..." So is this med-aide calling the doc to have...

  20. How long before you were a charge nurse?

    Larry77 replied to SoundofMusic's topic in General Nursing

    Is pretty funny I'm the lowest seniority nurse on days but I'm designated charge...most of the nurses with tons of experience have been at the desk before and have "put in their time"...now it's my...

  21. BNP-question for ED nurse

    Larry77 replied to oramar's topic in Emergency

    LOL!!!

  22. Gagging a Drunk

    Larry77 replied to Jerry 75's topic in Emergency

    I've heard this story too...hmmm I have seen a large suture placed in a tongue to give you something to hold onto when repairing a tongue

  23. California to Washington

    Larry77 replied to nurse1717's topic in General Nursing

    Takes some time and they might require a copy of your transcripts and CA license. If you didn't have 6 hrs of HIV education in nursing school you may have to do that when you renew your license the...

  24. Emergency Department Ambulatory Access

    Larry77 replied to Rickbos's topic in Emergency

    We've had 2 guns brought into our dept...both SI patients and both brought in through the front door...point is they will come no matter how secure your back door is. We have a card reader and key...

  25. Dumping Syndrome

    Larry77 replied to Jerry 75's topic in Emergency

    What came to my mind when I saw the title was the Friday night dump we get from all the local clinics and "gastric" dumping syndrome...I've never suspected our EMS doing what you have described, even...